McPark, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MCPARK, INC.

Practice address

55 E Long Lake Rd
Troy, MI 48085-4738

Phone

(248) 866-7033

Fax

(248) 584-5648

NPI assigned

Jun 2, 2011

Organization subpart

Yes

Parent organization

MCPARK , INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gregory Eugene Parker

Title

Vice President

Phone

(248) 866-7033

Specialties & licenses 1

Addresses

Other names 1

• McPark Surgical Doing business as

Part of

McPark Inc

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1861786337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854738",
            "telephone_number": "248-866-7033",
            "fax_number": "248-584-5648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E LONG LAKE RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854738",
            "telephone_number": "248-866-7033",
            "fax_number": "248-584-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCPARK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCPARK , INC.",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "248-866-7033",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McPark Surgical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy Craig McMahon, M.A
• Nathan W McMurray, MS, LPC, NCC
• Jamie McNally, LPC
• Vicki L. McNally, NP
• Beverly Mousseau McNaughton, RDH
• Roderick A. McPhee, M.D., PH.D.
• Emily Ann McRoberts, LMT
• MCTS Rose, LLC
• Suzanne Mary McWhorter, OTR
• Mdvip of Troy LLC

• Durable Medical Equipment & Medical Supplies in Troy, MI
• Providers in Troy, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.